Adult Nursing - PrepU - Chapter 4: Health Education and Health Promotion

Which is an example of a direct measurement technique used to evaluate the teaching-learning process? - Instruments that evaluate specific health status variables - Patient satisfaction surveys - Attitude surveys - Behavioral observation

- Behavioral observation

The nurse is providing information to a client about the safe use of a newly prescribed medication. The first question the nurse should ask is

- Is the client ready to learn?

A nurse is providing feedback to a client who demonstrates how to use an incentive spirometer. What primary role does feedback have in the adult learning process? - Enhances nurse-client relationship - Motivates learning - Increases self-esteem - Decreases questions

- Motivates learning

Which of the following is a nursing diagnosis related to health education?

- Ineffective health maintenance

Which phase of the nursing process encompasses the establishment of expected outcomes?

- Planning

The nurse is caring for a 12-year-old client. When teaching the client, what tone of teaching should the nurse implement? - Relevant - Abstract - Serious - Relatable

- Relevant

The nurse is teaching an elderly client about heart failure. What action will the nurse do to enhance learning?

- frequently repeat the provided information

A recommended approach to planning health teaching is applying the trans-theoretical model, which considers the stages of behavioral change. The stage in which the patient engages in calorie counting to reduce weight is called: - Contemplation - Preparation - Action - Maintenance

- Action

What percentage of people older than 65 years have one or more chronic disease(s)? - 60 - 70 - 80 - 50

- 80

A nurse is caring for a client who wants to quit smoking. The client tells the nurse he has thrown out all of his cigarettes. Which stage is the client in, according to the transtheoretical model of change? - Contemplative - Precontemplative - Action - Decision-making

- Action

Choose the nursing statement that would best reflect the final component of the "Ask-Tell-Ask-Close" technique of communication and demonstration. - "Is this a good time for me to show you how to irrigate your colostomy?" - "Here are the written directions for changing your dressings." - "Can you repeat for me the information I just reviewed about weighing food portions?"

- "Can you repeat for me the information I just reviewed about weighing food portions?"

Which stage of the transtheoretical model occurs when the patient has serious consideration of change, but it is sometime in the future? - Action - Precontemplation - Maintenance - Contemplation

- Contemplation

In many situations, measurement of which of the following is the most accurate measurement technique to identify changes in patient behavior? - Use of checklists - Direct observation of behavior - Use of rating scales - Anecdotal notes

- Direct observation of behavior

The entire planning phase of the teaching-learning process concludes with which of the following? - Response to teaching - Enhancement of learning - Changes need in teaching plan - Documentation

- Documentation

Which factor refers to a client's experiential readiness to learn? - Educational history and life experience - Ability to focus attention - Acceptance of an existing illness - Emotional status

- Educational history and life experience

Select the nursing action that is least likely to motivate a person to learn. - Constructive encouragement when a person has been unsuccessful in the learning process

- Emphasis on negative outcomes as a method to prevent learning incorrect practices

Which of the following teaching strategies may be used with a patient diagnosed with a developmental disability? Select all that apply. - Encourage active participation. - Demonstrate information followed by return demonstration. - Use nonverbal cues as needed. - Use simple explanations. - Base information on chronologic age.

- Encourage active participation. - Demonstrate information followed by return demonstration. - Use nonverbal cues as needed. - Use simple explanations.

Which step of the nursing process determines whether the client understands the health teaching that is provided? - Evaluation - Implementation - Planning - Assessment

- Evaluation

The nurse is teaching a client with diabetes how to perform checks of blood glucose level. To optimize learning, it is best for the nurse to - Verbally tell the client. - Provide written instructions. - Demonstrate to the client. - Have the client return demonstrate.

- Have the client return demonstrate.

A current trend in health education that significantly influences nursing practice is: - Increased numbers of health care providers. - Improved distribution of health information materials. - Increased emphasis on the diversity of patient needs. - Increased emphasis on patient involvement in their own care.

- Increased emphasis on patient involvement in their own care.

Which of the following is an example of adherence to treatment? Select all that apply. - Increasing daily activities - Taking prescribed medications - Inability to comply with follow-up appointments - Self-monitoring for signs and symptoms of illness - Maintaining a healthy diet

- Increasing daily activities - Taking prescribed medications - Self-monitoring for signs and symptoms of illness - Maintaining a healthy diet

A weight-loss and exercise program is recommended for a client with type 2 diabetes. When teaching the client about lifestyle changes, what type of assessment would the nurse prioritize? - Braden scale assessment - Head-to-toe physical assessment - Individual cultural assessment - Body mass index (BMI) assessment

- Individual cultural assessment

A hospitalized client reports right lower quadrant abdominal pain at a level of 8 on a 0 to 10 scale. The client is scheduled for an appendectomy. The nurse is teaching the client about use of the incentive spirometer postoperatively verbally and by demonstration. The client is on his side, clutching his abdomen. Learning is not occurring. The nurse has primarily failed to consider the client's - Learning environment - Experiential readiness - Emotional readiness - Physical readiness

- Physical readiness

A nurse developed a program of increased ambulation for a patient with an orthopedic disorder. This goal setting is a component of the nursing process known as: - Evaluation - Assessment - Planning - Implementation

- Planning

The home health nurse reviews a medication administration calendar with an elderly patient. In order to consider sensory changes that occur with aging, how should the nurse proceed? - Highlight or shade important dates and times with contrasting colors. - Type out the information on the computer. - Print directions in large, bold type, preferably using black ink. - Use several different colors to emphasize special dates.

- Print directions in large, bold type, preferably using black ink.

A nurse is preparing teaching for a client with an auditory perceptual disorder. Which educational strategy will be most effective? - Repeat and reinforce words frequently. - Avoid medical terminology. - Explain noises associated with procedures. - Explain important information verbally.

- Repeat and reinforce words frequently.

A 27-year-old client is a regular smoker, has diabetes, and has been diagnosed with hypertension. The client says it is cumbersome and time consuming to visit the doctor regularly just for a blood pressure check. Which aspect of teaching would the nurse use with this client? - Discuss methods for stress reduction - Advise smoking cessation - Apply glycemic control - Suggest the client purchase a self-monitoring cuff

- Suggest the client purchase a self-monitoring cuff

A nurse is evaluating a client's motivation to make decisions that promote healthy behavior change, using the trans-theoretical model of change. Which description best describes the decision making stage of this model? - The client constructs a plan to change behavior. - The client takes steps to put the plan into action. - The client is thinking about change in the near future. - The client works to sustain gains made from actions taken.

- The client constructs a plan to change behavior.

A nurse is planning a smoking-cessation program for a client and incorporates stages from the Transtheoretical Model of Change in the program. For the client to be successful, the client follows the stages in this order from steps 1 to 5: - Thinks about smoking cessation - Makes a plan to cease smoking - Works to prevent relapse of smoking - Resists relapsing into smoking - Takes steps to stop smoking

- Thinks about smoking cessation - Makes a plan to cease smoking - Takes steps to stop smoking - Works to prevent relapse of smoking - Resists relapsing into smoking

The home care nurse is evaluating a client's technique for self administration of medication. The nurse identifies a client's inability to pour a liquid medication into a measuring spoon. What is this teaching part of the nursing process called? - evaluation - planning - implementation - assessment

- assessment

The nurse is using a teaching plan with a client. When will the implementation phase of the teaching-learning process end? - upon documentation of the teaching plan - when the extent to which goals have been achieved has been documented - when teaching strategies have been completed - upon starting the written teaching plan

- when teaching strategies have been completed

The nurse is educating the client about management of diabetes. Which statement by the student would indicate to the nurse that further teaching is necessary? - "Exenatide (Byetta) is prescribed twice a day." - "Checks of blood glucose level are to be done ac and hs." - "Avoid alcohol ingestion while taking glimeperide." - "You will need to ingest an 1800-calorie diet every day."

- "Checks of blood glucose level are to be done ac and hs."

Which statement made by the client indicates understanding of the Centers for Disease Control and Prevention and U.S. Preventive Services Task Force recommendation for prostate screening frequency? - "I will make plans to see you every 6 months to keep an eye on my PSA levels." - "I will schedule my prostate exam every 5 years after I am 50." - "I will see you next year for my prostate exam." - "When I turn 50 I will need to have my PSA level checked every 5 years."

- "I will see you next year for my prostate exam."

A client with a cognitive disability needs discharge instructions prior to leaving the hospital. Which educational strategy will the nurse implement that will best promote learning for this client? - Use hand gestures and motions. - Give clear, written information. - Give time to interact. - Use all senses, as appropriate.

- Give clear, written information.

A nurse is evaluating education provided to various clients being discharged to home. The nurse assesses that client most likely to be nonadherent with treatment is the one who - Has pneumonia and is prescribed an oral antibiotic - Had abdominal surgery and will be changing the dressing daily - Has tuberculosis and is taking multiple antitubercular medications - Has a duodenal ulcer and is prescribed a histamine-2 receptor blocker

- Has tuberculosis and is taking multiple antitubercular medications

Which health promotion model does the nurse identify is the reason some people choose actions to foster health and others refuse to participate? - Social Learning Theory Model - Health Belief Model - Achieving Health for All Model - Resource Model of Preventive Health

- Health Belief Model

A patient with a visual impairment would benefit from which of the following teaching strategies? - Captioned videos - Sign language - Telecommunication devices - Magnifying lenses

- Magnifying lenses

The nurse is performing discharge teaching for an elderly client with mild visual impairment. The nurse provides written instructions with large print and highlighted parts. The nurse also sits near the client, faces the client, and speaks in a lower-pitched voice. When the client arrives home, the client has difficulty following instructions. What error in teaching did the nurse commit? - Providing written instructions that are highlighted - Using instructions with large print - Sitting near and facing the client - Speaking in a lower-pitched voice

- Providing written instructions that are highlighted

When providing discharge instructions, the nurse recognizes that which client is most likely to comply with the therapeutic treatment regimen? - The client with pneumonia who requires 1 week of oral antibiotics - The patient with newly diagnosed type 2 diabetes who requires nutritional counseling - The client with kidney failure who requires hemodialysis - The client with a positive tuberculosis skin test who requires 9 months of isoniazid

- The client with pneumonia who requires 1 week of oral antibiotics

The practice of nursing care is multifaceted in its scope and delivery. Which of the following activities describe the role of nursing? Select all that apply. - Changing prescribed treatment protocols - Health education and maintenance - Altering a medical plan of care - Promoting health - Preventing illness

- Health education and maintenance - Promoting health - Preventing illness

Health education is important for all patients and families. Of the four groups listed below, which group is most in need of health teaching? - Patients with a terminal illness, because the process of dying can be managed with dignity - Patients who are diagnosed with acute infections, because treatment and future prevention can be immediately addressed - Patients under 21 years of age, because new behaviors can be practiced for many years - Patients with chronic illnesses, because life-long interventions and adjustments can improve the quality of life

- Patients with chronic illnesses, because life-long interventions and adjustments can improve the quality of life

The nurse is revising a client's plan of care. What is an example of an expected client outcome? - The client will have the ability to climb a flight of stairs without experiencing difficulty in breathing. - The client will buy a pair of reading glasses to help with reading. - The client will accept the option of attending church on weekdays. - The client's blood pressure will be stable.

- The client will have the ability to climb a flight of stairs without experiencing difficulty in breathing.

Based on the nurse's knowledge of non-adherence to therapeutic regimens, which nurse needs to place extra emphasis on adherence to the treatment plan?

- The nurse planning to teach adults aged 65 about congestive heart failure management

The nurse develops outcome criteria for a patient with chronic obstructive pulmonary disease. Which outcome criteria are appropriate for this patient? - The patient will have the ability to climb a flight of stairs without experiencing difficulty in breathing. - The patient will not experience an alteration in skin integrity. - The patient will perform passive range-of-motion exercises once daily. - The nurse will obtain a pulse oximetry reading twice a day.

- The patient will have the ability to climb a flight of stairs without experiencing difficulty in breathing.

There are many goals for health teaching. Which of the following is the primary goal of family and patient education? - Improve patient outcomes - Increase knowledge - Establish trust - Motivate people to learn

- Improve patient outcomes

The nurse is caring for a 33-year-old male client. Which clinical screening should the client have, based on his age? - Lipid panel - Hemoccult screening - Colonoscopy - Electrocardiogram

- Lipid panel

The nurse is administering a new medication to an elderly male client and begins instruction about the medication. The client states, "Tell my wife. She takes care of all this kind of stuff." The nurse replies - "It is necessary that you learn about this medication." - "When your wife comes in to visit, I will return and provide the information to both of you." - "I will print the information about this medication and leave it with you to give to her." - "I will have to return when she arrives."

- "When your wife comes in to visit, I will return and provide the information to both of you."

A nurse is planning discharge instructions for a client from another culture. What does the nurse understand about the relationship of values and beliefs and the client's readiness to learn? - The client will likely accept health education, but will take longer to learn. - The client will likely accept health education regardless of values and beliefs. - The client will be less likely to accept health education unless the nurse and client share values and beliefs. - The client will be less likely to accept health education unless values and beliefs are respected.

- The client will be less likely to accept health education unless values and beliefs are respected.

A nurse is planning a health education program for a group of high school students regarding the dangers of texting and driving. Which action by the nurse illustrates the understanding of health education as a primary nursing responsibility? - The nurse prepares a permission slip for all students to have signed by their parents, allowing the student to participate in the educational program. - The nurse gathers evidenced-based information related to texting and driving and coordinates the education with the school. - After consulting the literature and preparing the educational program, the nurse contacts the school's medical director for approval of the planned educational program. - The nurse obtains the name of the school's medical director and obtains a health care provider's order to conduct the education program.

- The nurse gathers evidenced-based information related to texting and driving and coordinates the education with the school.

The termination stage of the Transtheoretical Model of Change occurs when: - The person constructs a plan to change behavior. - The person is not thinking about making a change. - The person takes steps to operationalize the plan of action. - The person has the ability to resist relapse back to unhealthy behavior.

- The person has the ability to resist relapse back to unhealthy behavior.

The nurse is planning to teach a client who was recently diagnosed with migraine headaches. It is best to teach the client - In a quiet room - With her spouse and children present - During the headache recovery phase - Immediately following a headache experience

- In a quiet room

Which of the following is accurate regarding wellness? Select all that apply. - Is the same for every person. - It requires a conscious commitment. - One tries to maximize one's own health. - It is the result of adopting lifestyle behaviors for the attainment of one's highest potential. - It is a specific health status with the absence of disease.

- It requires a conscious commitment. - One tries to maximize one's own health. - It is the result of adopting lifestyle behaviors for the attainment of one's highest potential.

When a person works to prevent relapse and to sustain the gains made from actions taken, he or she is in which stage of the Transtheoretical Model of Change? - Termination - Action - Contemplative - Maintenance

- Maintenance

The school nurse informs the mother of a second-grade student that lice were found in the child's hair. The mother explains to the nurse that she has another child to pick up and cannot stay to receive education related to the treatment of lice at this time. The mother reassures the nurse that she will "look up treatment options on the Internet and take care of the child." What would be the best action of the school nurse in this situation? - Notify the social worker of suspected child neglect and make a referral to child protective services - Instruct the mother to treat the other child for lice in the same manner as the second-grade child - Provide the mother with a list of credible websites related to the treatment of lice - Perform hand hygiene and notify the second-grade teacher to wash down the classroom

- Provide the mother with a list of credible websites related to the treatment of lice

Since normal aging results in changes in cognition, how should the nurse teach an elderly patient to administer insulin? - Present all the information at one time so that the patient is not confused by pieces of information. - Speed up the demonstration because the patient will tire easily. - Repeat the information frequently for reinforcement. - The elderly patient is not capable of learning self-administration and someone else should be instructed.

- Repeat the information frequently for reinforcement.

The nurse is preparing to teach a client about a newly prescribed medication. The client lacks insurance. The medication costs approximately $100 per month. The client states, "I can't afford it." The nurse assesses a variable to successful education and health promotion for this client based on the Health Belief Model is - Resources - Perceptual factors - Barriers - Demographic and disease factors

- Resources

The home health nurse is planning teaching for a client with COPD and a history of noncompliance to the medication regimen. Which factor does the nurse recognize as having the most influence to enabling complete adherence of a health regimen? - Education level - Motivation - Self-esteem - Cost of medication

- Motivation

Which factor is a leading health indicator used to measure the health of the nation? - Cultural awareness - Overweight and obesity - Intelligence - Religion

- Overweight and obesity

The nurse is developing a health-promotion program at a company in which many employees are women in their 20s and 30s. For this population, the nurse plans to include information about

- Parenting issues

A nurse is teaching a client taking digoxin about checking the pulse rate daily. The client counts her radial pulse as 64 beats/min. The nurse counts at the same time and assesses the rate as 58 beats/min. When evaluating response to treatment, the nurse would chart that the client - Cannot satisfactorily learn the skill - Demonstrates adequate knowledge of the skill - Needs a family member to perform this skill - Requires another opportunity for practice

- Requires another opportunity for practice

What is the priority responsibility for the nurse providing patient teaching? (Select all that apply.) - Giving a test at the end of a teaching session - Motivating each person to learn - Waiting until the patient expresses a desire to learn - Determining individual needs for teaching - Presenting information at the level of the learner

- Motivating each person to learn - Determining individual needs for teaching - Presenting information at the level of the learner

A nurse knows that the use of a learning contract increases motivation and increases the likelihood of patient compliance with the treatment regimen. Which client goal best exemplifies a well-designed learning contract? - The client who wishes to stop smoking agrees to cut back on one cigarette a day for the first week of treatment and then decrease smoking by two cigarettes the following week of treatment. - The client who wishes to lose weight immediately reduces caloric intake to 1000 calories a day and agrees to keep to this diet plan until a 9-kg weight loss has been achieved. - The client seeking alcohol treatment agrees to stop drinking all forms of alcohol immediately and plans to chew a stick of gum when they experience the urge to have a drink. - The client who wants to begin an exercise program agrees to participate in a 10-km run 6 months after starting the new exercise regimen.

- The client who wishes to stop smoking agrees to cut back on one cigarette a day for the first week of treatment and then decrease smoking by two cigarettes the following week of treatment.

The nurse is providing preoperative information about hip replacement to a group of clients scheduled for this surgery. One of the clients is slightly hearing impaired. What is the best action of the nurse? - Position the hearing-impaired client 8 feet away. - Turn to any client who asks questions. - Speak in a loud voice. - Use a model of the hip.

- Use a model of the hip.

Which action would be incorporated in a teaching strategy for a hearing-impaired client? - Use of large-print materials - Arrangement of materials in a clockwise pattern - Use of slow, directed, and deliberate speech - Having the person perform a return demonstration

- Use of slow, directed, and deliberate speech

A nurse has been assigned to care for a client with newly diagnosed insulin-dependent diabetes mellitus. When teaching the client proper injection techniques, which statement will the nurse use to promote emotional readiness in the client? - "Do you feel comfortable with injections?" - "Can you teach me what I just showed you?" - "What scares you the most about this?" - "How do you feel about needles?"

- "Can you teach me what I just showed you?"

Which of the following nursing action exemplifies the evaluation of the teaching-learning process to determines how effectively the patient has responded to teaching? - Setting short-term educational goals for the client newly diagnosed with diabetes - Teaching injection sites to a client newly diagnosed with diabetes - Watching a return demonstration of insulin administration from a client newly diagnosed with diabetes - Asking a new diabetic, "What are your questions about giving yourself an insulin injection?"

- Watching a return demonstration of insulin administration from a client newly diagnosed with diabetes

A nursing student observes the home care nurse provide education to a client with congestive heart failure (CHF). The nurse teaches the client how to read food labels and calculate sodium content. The nursing student recognizes that the home care nurse is aware of which basic principle of patient education? - Patient instruction related to self-care activities promotes patient independence - The home care nurse is providing hospital discharge instructions - Patients are required to learn about their therapeutic nutritional regimen - The home care nurse has a physician order to teach a 2-g sodium diet

- Patient instruction related to self-care activities promotes patient independence